Risk factors and outcomes in patients with ectatic infarct‐related artery who underwent primary percutaneous coronary intervention after ST elevated myocardial infarction

Abstract

In conclusion, despite being higher no-reflow rates, short-term and 1 year survival and revascularization rates were similar between the groups. Additionally, hypertension and smoking were associated with CAE as IRA. © 2016 Wiley Periodicals, Inc.

Risk Factors for No-Reflow Phenomenon after Percutaneous Coronary Intervention in Patients with Acute Coronary Syndrome

“…Old age, delayed reperfusion (a relatively long time from the onset of symptoms to PCI), low TIMI grade before PCI, hypotension at admission (systolic pressure < 100 mmHg), preoperative IABP use, long target lesion, and high thrombus load are all independent predictive factors for no-reflow phenomenon. In this study, the incidence of no-reflow phenomenon after emergency PCI was approximately 16.1%, being consistent with that in previous literature [9][10][11] .…”

The newly occluded ectatic vessel: Not an ecstatic time

“…Significant coronary ectasia is not that common, being reported in 0.3–4.9% of non‐acute patients and in the retrospective analysis herein reported of acute infarct patients, in about 5% . All ectasia is not the same, if not simply based on size and perhaps truly significant ectasia, i.e.…”

“…Publications on the subject revolve around the pathological findings or are retrospective reviews, as in the foregoing report and proof of a causative mechanism continues to elude us . This retrospective report is novel in that focuses on its significance in the setting of an acute ST‐segment elevation myocardial infarction (STEMI) .…”

Uncommon Anatomic Predisposition to Myocardial Infarction: A Case of Coronary Artery Ectasia

“…Nitrates, on the other hand, should be avoided as they were shown to increase exercise-induced angina [ 10 ]. If refractory symptoms persist despite medical therapy, percutaneous coronary intervention can be attempted; however, it is challenging, as it is associated with lower procedural success, higher rates of stent thrombosis, and repeat revascularization [ 4 , 11 - 13 ]. Surgical options have demonstrated good outcomes in patients who fail medical and percutaneous management [ 14 ].…”